Pharmacy Prior Authorization Coordinator

Sentara is hiring a Full-time Pharmacy Prior Authorization Coordinator for Sentara Medical Groups.

Location: Remote, must reside in Virginia or North Carolina only.

Status: Full Time (40 hrs/wk)

Shift: Days, Monday-Friday

Hours: 730am-4pm or8am-430pm

** Candidates must reside in Virginia or North Carolina only.**

** This is a REMOTE position.**

The Pharmacy Prior Authorization Coordinator I is responsible for delivering high-quality customer service by answering and managing calls from members, provider offices, and pharmacies. This role supports the processing of prior authorization (PA) requests for pharmacy benefit medications, ensuring accuracy, compliance with regulatory and clinical guidelines, and alignment with client performance standards. Works under general supervision, using established protocols and systems to support timely, efficient, and accurate PA determinations.

• HS Diploma or equivalent

** Must be a licensed Pharmacy Technician or a Certified Medical Assistant to qualify for this position**

• Virginia Pharmacy Tech License (Required) and CPhT License (Received through the NHA or PTCB) (Required)

OR

• Certified Medical Assistant (CMA), or Registered Medical Assistant (RMA), or Certified Clinical Medical Assistant (CCMA)

• 1 year of healthcare administrative experience (Required).

• 1 year of Managed Care, Health Plan, or PBM experience preferred.

• 1 year of Pharmacy Call Center or Authorization experience preferred.

keywords:

Pharmacy Tech, PTCB, NHA, discounted Medication, Pharmacy, outpatient Pharmacy, Pharmacy Technician, Compounding, Epic, Hospital, inventory management, Rx order, 340B, CPhT, Indeed, Monster, Talroo, Linked In, #LI-SM1, managed care, health plan, PBM, prior authorization, CMA, RMA, CCMA, Medical Assistant, MA